Parenchymal Injury Caused by Complete Migration of a Bone of Japanese Horse Mackerel Within the Pancreatic Uncinate Process Through a Duodenal Diverticulum, Resulting in Sepsis and Multiple Pyogenic Liver Abscesses

Q: What does this research mean for the field?

Complete migration of an ingested fish bone through a duodenal diverticulum into the pancreatic uncinate process can cause severe parenchymal injury, sepsis, and multiple pyogenic liver abscesses. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Saki Aota; Tomohide Hori; Ryutaro Nishikawa; Shigehito Nakashima; Ryohei Sakaguchi; Satoru Umegae; T Iwanaga; Shigeki Nakayama; Hiroshi Hasegawa; Kunihiro Higuchi; T Shimoyama; Sakurako Suzuki; Shoichi Morita; Haruka Miyao; Hikaru Ohtani; Seima Hirai; Takayuki Yamamoto

doi:10.12659/ajcr.954338

August 20, 2026American Journal of Case ReportsOpen Access

Parenchymal Injury Caused by Complete Migration of a Bone of Japanese Horse Mackerel Within the Pancreatic Uncinate Process Through a Duodenal Diverticulum, Resulting in Sepsis and Multiple Pyogenic Liver Abscesses

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Key Points

Describe a clinical presentation of pancreatic injury, systemic sepsis, and multiple pyogenic liver abscesses resulting from foreign body perforation.
Clinical case evaluation of a patient presenting with complications from an ingested Japanese horse mackerel bone.
A swallowed fish bone completely migrated through a duodenal diverticulum, causing parenchymal injury to the pancreatic uncinate process.
The mechanical perforation and resulting infection precipitated systemic sepsis and the formation of multiple pyogenic liver abscesses.

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Implication

Case report demonstrates severe sepsis and pyogenic liver abscesses from fish bone migration into the pancreas, highlighting rare gastrointestinal perforation risks.

Abstract

Parenchymal Injury Caused by Complete Migration of a Bone of Japanese Horse Mackerel Within the Pancreatic Uncinate Process Through a Duodenal Diverticulum, Resulting in Sepsis and Multiple Pyogenic Liver Abscesses - Article abstract #954338

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Aota et al. (2026) studied this question.

synapsesocial.com/papers/6a895ed9ca7ade938187d04a https://doi.org/10.12659/ajcr.954338

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Parenchymal Injury Caused by Complete Migration of a Bone of Japanese Horse Mackerel Within the Pancreatic Uncinate Process Through a Duodenal Diverticulum, Resulting in Sepsis and Multiple Pyogenic Liver Abscesses

Key Points

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Implication

Abstract

Discussion

Cite This Study

Parenchymal Injury Caused by Complete Migration of a Bone of Japanese Horse Mackerel Within the Pancreatic Uncinate Process Through a Duodenal Diverticulum, Resulting in Sepsis and Multiple Pyogenic Liver Abscesses

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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